David Jenkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19701 Issued in TX

Practice address

4131 Spicewood Springs Rd
Building G, #1
Austin, TX 78759-8661

Phone

(512) 843-7665

NPI assigned

Oct 23, 2013

Last updated

Oct 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Just Mind, PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1962828236

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1356779730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 DOWNING ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594327",
            "telephone_number": "512-843-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD",
            "address_2": "BUILDING G, #1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598661",
            "telephone_number": "512-843-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Chang Jeng, M.D.
• Jenkerson Physical Therapy, PLLC
• Terrill Warren Jenkerson, PT
• Amber C Jenkins
• Daitoyya Jenkins
• Elizabeth Prezio Jenkins, M.D.
• Frankie Lee Jenkins Jr., LCSW
• Jasmine Jenkins, PHD
• Joshua Lee Jenkins, RN
• Judith Jenkins

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.